关于儿童部疾病患者体育活动的外科医生建议
Jacqueline Li1,2, Emily K Schaeffer1,2, Stacey Miller3,4
1Departments of Orthopaedics.
Journal of pediatric orthopedics
|June 5, 2024
概括
整形外科医生同意,患有部疾病的儿童应该恢复体力活动 (PA). 然而,关于活动类型和持续时间的建议各不相同,这凸显了为儿科部患者制定明确的PA指导方针的需要.
科学领域:
- 儿科整形医生 儿科整形医生
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 身体活动 (PA) 对年轻人至关重要,但对儿科部患者 (部发育性形[DDH],Legg-Calvé-Perthes疾病[LCPD],滑落大腿骨形[SCFE]) 的治疗指导尚不清楚.
- 整形外科医生的当前实践,意见和关于向这些患者提供有关PA的建议的共识并未得到充分记录.
研究的目的:
- 检查骨科外科医生在建议儿科关节患者治疗后推的体力活动 (PA) 方面的作用.
- 评估外科医生的实践,意见,以及对治疗儿童DDH,LCPD或SCFE的PA建议的共识.
主要方法:
- 一项调查分发给四个部研究小组的骨科外科医生.
- 该调查包括外科医生人口统计数据,关于PA的意见和10个案例场景,评估儿童部疾病活动持续时间,强度和类型限制的建议.
- 共识被评估使用从0 (没有协议) 到1 (完全协议) 的比例.
主要成果:
- 在51名受访者中,有94%的受访者同意,学龄的关节患者应该回到PA,但53%的受访者认为PA可能会损害部或导致骨关节炎.
- 对于推一些PA存在很高的共识 (0.92),但对于每天60分钟的中度至强度体力活动 (MVPA) 最低 (0.44) 和活动类型限制 (0.33) 的共识较低.
- 最常见的限制包括避免冲击 (93%) 和接触 (58%) 活动. 外科医生不知道现有的PA指南,有57%的外科医生表示有兴趣采用它们.
结论:
- 虽然整形外科医生同意PA对儿科部患者的重要性,但在推特定的MVPA水平和活动限制方面存在显著的变化.
- 外科医生显然需要并表达了对基于证据的PA指南的兴趣,以优化患有部疾病的儿童的结果.
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